Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis

Journal article


Psarakis, Michael, Greene, David A., Cole, Michael H., Lord, Stephen R., Hoang, Phu and Brodie, Matthew A. D.. (2018) Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis. Physiological Measurement. 39(7), pp. 1 - 13. https://doi.org/10.1088/1361-6579/aac0a3
AuthorsPsarakis, Michael, Greene, David A., Cole, Michael H., Lord, Stephen R., Hoang, Phu and Brodie, Matthew A. D.
Abstract

Objective: People with multiple sclerosis (PwMS) often experience a decline in gait performance, which can compromise their independence and increase falls. Ankle joint contractures in PwMS are common and often result in compensatory gait patterns to accommodate reduced ankle range of motion (ROM). Approach: Using advances in wearable technology, the aim of this study was to quantify head and pelvis movement patterns that occur in PwMS with disability and determine how these secondary gait compensations impact on gait stability. Twelve healthy participants and 12 PwMS participated in the study. Head and pelvis movements were measured using two tri-axial accelerometers. Measures of gait compensation, mobility, variability, asymmetry, stability and fatigue were assessed during a 6 min walking test. Main results: Compared to healthy controls, PwMS had greater vertical asymmetry in their head and pelvic movements (Cohen's d  =  1.85 and 1.60). Lower harmonic ratios indicated that PwMS were more unstable than controls (Cohen's d  =  −1.61 to  −3.06), even after adjusting for their slower walking speeds. In the PwMS, increased compensatory movements were correlated with reduced ankle active ROM (r  =  −0.71), higher disability (EDSS) scores (r  =  0.58), unstable gait (r  =  −0.76), reduced mobility (r  =  −0.76) and increased variability (r  =  0.83). Significance: Wearable device technology provides an efficient and reliable way to screen for excessive compensatory movements often present in PwMS and provides clinically important information that impacts on mobility, stride time variability and gait stability. This information may help clinicians identify PwMS at high risk of falling and develop better rehabilitation interventions that, in addition to improving mobility, may help target the underlying causes of unstable gait.

Keywordsharmonic ratio; accelerometer; dynamic stability; compensations; gait screening
Year2018
JournalPhysiological Measurement
Journal citation39 (7), pp. 1 - 13
PublisherIOP Publishing
ISSN1361-6579
Digital Object Identifier (DOI)https://doi.org/10.1088/1361-6579/aac0a3
Scopus EID2-s2.0-85051751868
Page range1 - 13
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Place of publicationUnited Kingdom
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Evidence of compensatory joint kinetics during stair ascent and descent in Parkinson's disease
Conway, Zachary J., Silburn, Peter A., Blackmore, Tim and Cole, Michael H.. (2017) Evidence of compensatory joint kinetics during stair ascent and descent in Parkinson's disease. Gait & Posture. 52, pp. 33 - 39. https://doi.org/10.1016/j.gaitpost.2016.11.017
Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers
Cole, Michael H., Naughton, Geraldine A. and Silburn, Peter A.. (2017) Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers. Neurorehabilitation and Neural Repair. 31(1), pp. 34 - 47. https://doi.org/10.1177/1545968316656057
Bone health of young male gymnasts: a systematic review
Burt, Lauren, Greene, David and Naughton, Geraldine. (2017) Bone health of young male gymnasts: a systematic review. Pediatric Exercise Science. 29(4), pp. 456 - 464. https://doi.org/10.1123/pes.2017-0046
Tackle characteristics and outcomes in match-play rugby league: The relationship with tackle ability and physical qualities
Speranza, Michael J. A., Gabbett, Tim J., Greene, David A., Johnston, Townshend, Andrew D. and richard.johnston@acu.edu.au, Rich D. Johnston. (2017) Tackle characteristics and outcomes in match-play rugby league: The relationship with tackle ability and physical qualities. Science and Medicine in Football. 1(3), pp. 265 - 271. https://doi.org/10.1080/24733938.2017.1361041
Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers
Cole, Michael H., Naughton, Geraldine A. and Silburn, Peter A.. (2017) Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers. Neurorehabilitation and Neural Repair. 31(1), pp. 34 - 47. https://doi.org/10.1177/1545968316656057
Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease
Cole, Michael H., Rippey, Jodi, Naughton, Geraldine A. and Silburn, Peter A.. (2016) Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease. Archives of Physical Medicine and Rehabilitation. 97(1), pp. 152 - 156. https://doi.org/10.1016/j.apmr.2015.07.027
GPS and injury prevention in professional soccer
Ehrmann, Fabian E., Duncan, Craig Scott, Sindhusake, Doungkamol, Franzsen, William Neil, Greene, David Anthony and Sindhusake, Doungkamol. (2016) GPS and injury prevention in professional soccer. Journal of Strength and Conditioning Research. 30(2), pp. 360 - 367. https://doi.org/10.1519/JSC.0000000000001093
Lower Body Stiffness Modulation Strategies In Well Trained Female Athletes
Millett, Emma L., Moresi, Mark Peter, Watsford, Mark L., Taylor, Paul G. and Greene, David Anthony. (2016) Lower Body Stiffness Modulation Strategies In Well Trained Female Athletes. Journal of Strength and Conditioning Research. 30(10), pp. 2845 - 2856. https://doi.org/10.1519/JSC.0000000000001365
A systematic review on perceptual-motor calibration to changes in action capabilities
van Andel, Steven, Cole, Michael H. and Pepping, Gert-Jan. (2016) A systematic review on perceptual-motor calibration to changes in action capabilities. Human Movement Science. 51(1), pp. 59 - 71. https://doi.org/10.1016/j.humov.2016.11.004
Assessing stability in mild and moderate Parkinson's disease: Can clinical measures provide insight?
Hubble, Ryan P., Silburn, Peter A., Naughton, Geraldine A. and Cole, Michael H.. (2016) Assessing stability in mild and moderate Parkinson's disease: Can clinical measures provide insight? Gait & Posture. 49(1), pp. 7 - 13. https://doi.org/10.1016/j.gaitpost.2016.06.002
The biomechanics of the modern golf swing: Implications for lower back injuries
Cole, Michael H. and Grimshaw, Paul N.. (2016) The biomechanics of the modern golf swing: Implications for lower back injuries. Sports Medicine. 46(3), pp. 339 - 351. https://doi.org/10.1007/s40279-015-0429-1
Monitoring workload in throwing-dominant sports: A systematic review
Black, Georgia M., Gabbett, Tim J., Cole, Michael H. and Naughton, Geraldine. (2016) Monitoring workload in throwing-dominant sports: A systematic review. Sports Medicine. 46, pp. 1503 - 1516. https://doi.org/10.1007/s40279-016-0529-6
Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial
Hoang, Phu, Schoene, Daniel, Gandevia, Simon C., Smith, Stuart T. and Lord, Stephen R.. (2016) Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis - A randomized controlled trial. Multiple Sclerosis Journal. 22(1), pp. 94 - 103. https://doi.org/10.1177/1352458515579442
Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis
Brodie, Matthew A. D., Psarakis, Michael and Hoang, Phu. (2016) Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis. Computer Methods in Biomechanics and Biomedical Engineering. 19(12), pp. 1339 - 1346. https://doi.org/10.1080/10255842.2016.1140747
A systematic review on perceptual-motor calibration to changes in action capabilities
van Andel, Steven, Cole, Michael H. and Pepping, Gert-Jan. (2016) A systematic review on perceptual-motor calibration to changes in action capabilities. Human Movement Science. 51(1), pp. 59 - 71. https://doi.org/10.1016/j.humov.2016.11.004
Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease
Cole, Michael H., Rippey, Jodi, Naughton, Geraldine A. and Silburn, Peter A.. (2016) Use of a short-form balance confidence scale to predict future recurrent falls in people with Parkinson Disease. Archives of Physical Medicine and Rehabilitation. 97(1), pp. 152 - 156. https://doi.org/10.1016/j.apmr.2015.07.027
Monitoring workload in throwing-dominant sports: A systematic review
Black, Georgia M., Gabbett, Tim J., Cole, Michael H. and Naughton, Geraldine. (2016) Monitoring workload in throwing-dominant sports: A systematic review. Sports Medicine. 46, pp. 1503 - 1516. https://doi.org/10.1007/s40279-016-0529-6
The biomechanics of the modern golf swing: Implications for lower back injuries
Cole, Michael H. and Grimshaw, Paul N.. (2016) The biomechanics of the modern golf swing: Implications for lower back injuries. Sports Medicine. 46(3), pp. 339 - 351. https://doi.org/10.1007/s40279-015-0429-1
Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation
Lonsdale, Christopher S., Sanders, Taren G., Cohen, Kristen E., Parker, Philip, Noetel, Michael, Hartwig, Timothy Bryan, Vasconcellos, Diego, Kirwan, Morwenna, Morgan, Philip, Salmon, Jo, Moodie, Marj, McKay, Heather A., Bennie, Andrew, Plotnikoff, Ron C., Cinelli, Renata, Greene, David Anthony, Peralta, Louisa R., Cliff, Dylan, Kolt, Gregory S., ... Lubans, David. (2016) Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation. BMC Public Health. 16(873), pp. 1 - 16. https://doi.org/10.1186/s12889-016-3243-2
Cross-sectional and longitudinal study protocols of the 'ADIposity and BOne metabolism: Effects of eXercise-induced weight loss in obese adolescents' (ADIBOX) project
Chaplais, Elodie, Dutheil, Frederic, Naughton, Geraldine Ann, Greene, David Anthony, Pereira, Bruno, Thivel, David and Courteix, Daniel. (2016) Cross-sectional and longitudinal study protocols of the 'ADIposity and BOne metabolism: Effects of eXercise-induced weight loss in obese adolescents' (ADIBOX) project. BMJ Open. 6, pp. 1 - 9. https://doi.org/10.1136/bmjopen-2016-011407
The use of wearable microsensors to quantify sport-specific movements
Chambers, Ryan, Gabbett, Tim J., Cole, Michael H. and Beard, Adam. (2015) The use of wearable microsensors to quantify sport-specific movements. Sports Medicine. 45(7), pp. 1065 - 1081. https://doi.org/10.1007/s40279-015-0332-9
Tibial bone responses to 6-month calcium and vitamin D supplementation in young male jockeys : A randomised controlled trial
Silk, Leslie, Greene, David, Baker, Michael and Jander, Caron. (2015) Tibial bone responses to 6-month calcium and vitamin D supplementation in young male jockeys : A randomised controlled trial. Bone. 81(12), pp. 554 - 561. https://doi.org/10.1016/j.bone.2015.09.004
Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review
Hubble, Ryan, Naughton, Geraldine, Silburn, Peter and Cole, Michael. (2015) Wearable sensor use for assessing standing balance and walking stability in people with Parkinson’s Disease: A systematic review. PLoS ONE. 10(4), pp. 1 - 22. https://doi.org/10.1371/journal.pone.0123705
Relationship of leg and joint stiffness during basic and sports specific tasks in high level athletes
Millett, Emma, Moresi, Mark, Watsford, Mark, Taylor, Paul and Greene, David. (2015) Relationship of leg and joint stiffness during basic and sports specific tasks in high level athletes. 33rd International Conference on Biomechanics in Sports. Poitiers, France. June 29 - July 3, 2015.. Germany: International Society of Biomechanics in Sports. pp. 249 - 252
The impact of data reduction on the intra-trial reliability of a typical measure of lower limb musculoskeletal stiffness
Moresi, Mark, Bradshaw, Elizabeth, Greene, David and Naughton, Geraldine. (2015) The impact of data reduction on the intra-trial reliability of a typical measure of lower limb musculoskeletal stiffness. Journal of Sports Sciences. 33(2), pp. 180 - 191. https://doi.org/10.1080/02640414.2014.932916
Bone-adiposity cross-talk: implications for pediatric obesity
Chaplais, Elodie, Thivel, David, Greene, David, Dutheil, Frederic, Duche, Pascale, Naughton, Geraldine and Courteix, Daniel. (2015) Bone-adiposity cross-talk: implications for pediatric obesity. Journal of Bone and Mineral Metabolism. 33(6), pp. 592 - 602. https://doi.org/10.1007/s00774-015-0654-6
Smartphone interventions for weight treatment and behavioral change in pediatric obesity : A systematic review
Chaplais, Elodie, Naughton, Geraldine, Thivel, David, Courteix, Daniel and Greene, David. (2015) Smartphone interventions for weight treatment and behavioral change in pediatric obesity : A systematic review. Telemedicine and e-Health (print). 21(10), pp. 822 - 830. https://doi.org/10.1089/tmj.2014.0197
The use of wearable microsensors to quantify sport-specific movements
Chambers, Ryan, Gabbett, Tim J., Cole, Michael H. and Beard, Adam. (2015) The use of wearable microsensors to quantify sport-specific movements. Sports Medicine. 45(7), pp. 1065 - 1081. https://doi.org/10.1007/s40279-015-0332-9
The effect of calcium or calcium and vitamin d supplementation on bone mineral density in healthy males : A systematic review and meta-analysis
Silk, Leslie, Greene, David and Baker, Michael. (2015) The effect of calcium or calcium and vitamin d supplementation on bone mineral density in healthy males : A systematic review and meta-analysis. International Journal of Sport Nutrition and Exercise Metabolism. 25(5), pp. 510 - 524. https://doi.org/10.1123/ijsnem.2014-0202
Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study
Cameron, Michelle H., Karstens, Lisa, Hoang, Phu, Bourdette, Dennis and Lord, Stephen R.. (2015) Medications are associated with falls in people with multiple sclerosis - A Prospective Cohort study. International Journal of MS Care. 17(5), pp. 207 - 214. https://doi.org/10.7224/1537-2073.2014-076
Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States
Nilsagård, Ylva E., Gunn, Hilary, Freeman, Jennifer, Hoang, Phu, Lord, Stephen R., Mazumder, Rajarshi and Cameron, Michelle. (2015) Falls in people with MS - An individual data meta-analysis from studies from Australia, Sweden, United Kingdom and the United States. Multiple Sclerosis Journal. 21(1), pp. 92 - 100. https://doi.org/10.1177/1352458514538884
Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial
Hubble, Ryan P., Naughton, Geraldine A., Silburn, Peter and Cole, Michael H.. (2014) Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial. BMJ Open. 4(12), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-006095
Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces
Cole, Michael H., van den Hoorn, Wolbert, Kavanagh, Justin K., Morrison, Steven, Hodges, Paul W., Smeathers, James E. and Kerr, Graham K.. (2014) Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces. PLoS ONE. 9(5), pp. 1 - 12. https://doi.org/10.1371/journal.pone.0098395
Executive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael H., Mengersen, Kerrie, Silburn, Peter A., Qiu, Feng, Graepel, Cara and Kerr, Graham. (2014) Executive function and postural instability in people with Parkinson's disease. Parkinson's Disease. 2014(1), pp. 1 - 8. https://doi.org/10.1155/2014/684758
The crunch factor's role in golf-related low back pain
Cole, Michael H.. (2014) The crunch factor's role in golf-related low back pain. Spine Journal. 14(5), pp. 799 - 807. https://doi.org/10.1016/j.spinee.2013.09.019
Professionalism, golf coaching and a Master of Science degree: A commentary
Cole, Michael H.. (2014) Professionalism, golf coaching and a Master of Science degree: A commentary. International Journal of Sports Science and Coaching. 9(4), pp. 861 - 864. https://doi.org/10.1260/1747-9541.9.4.717
The crunch factor's role in golf-related low back pain
Cole, Michael H. and Grimshaw, Paul N.. (2014) The crunch factor's role in golf-related low back pain. Spine Journal. 14(5), pp. 799 - 807. https://doi.org/10.1016/j.spinee.2013.09.019
Is a gymnast's performance and health affected by Vitamin D deficiency?
Bradshaw, Elizabeth J., Thomas, Kylie, Moresi, Mark, Greene, David, Braybon, Wendy, McGillivray, Kate and Andrew, Kylie. (2014) Is a gymnast's performance and health affected by Vitamin D deficiency? In K Sato, W Sands and S Mizuguchi (Ed.). ISBS - Conference Proceedings Archive. Germany: International Society of Biomechanics in Sports. pp. 344 - 348
Professionalism, golf coaching and a Master of Science degree: A commentary
Cole, Michael H.. (2014) Professionalism, golf coaching and a Master of Science degree: A commentary. International Journal of Sports Science and Coaching. 9(4), pp. 861 - 864. https://doi.org/10.1260/1747-9541.9.4.717
Reproducibility of a peripheral quantitative computed tomography scan protocol to measure the material properties of the second metatarsal
Chaplais, Elodie, Greene, David, Hood, Anita, Telfer, Scott, du Toit, Verona, Singh-Grewal, Davinder, Burns, Joshua, Rome, Keith, Schiferl, Daniel and Hendry, Gordon. (2014) Reproducibility of a peripheral quantitative computed tomography scan protocol to measure the material properties of the second metatarsal. BMC Musculoskeletal Disorders. 15(242), pp. 1 - 6. https://doi.org/10.1186/1471-2474-15-242
Influence of a season of athletic training on leg and joint stiffness in high level netballers
Millett, Emma, Moresi, Mark, Watsford, Mark, Taylor, Paul and Greene, David. (2014) Influence of a season of athletic training on leg and joint stiffness in high level netballers. In K Sato, W Sands and S Mizuguchi (Ed.). ISBS - Conference Proceedings Archive. Germany: International Society of Biomechanics in Sports. pp. 478 - 481
Biomechanical field test observations of gymnasts entering puberty
Bradshaw, Elizabeth, Thomas, Kylie, Moresi, Mark, Greene, David, Braybon, Wendy, McGillivray, Kate and Andrew, Kylie. (2014) Biomechanical field test observations of gymnasts entering puberty. In K Sato, W Sands and S Mizuguchi (Ed.). ISBS - Conference Proceedings Archive. Germany: International Society of Biomechanics in Sports. pp. 349 - 352
Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis
Fornusek, Ché and Hoang, Phu. (2014) Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis. Journal of Rehabilitation Medicine. 46(7), pp. 698 - 702. https://doi.org/10.2340/16501977-1792
Bone health of apprentice jockeys using peripheral quantitative computed tomography
Greene, David, Naughton, Geraldine A., Jander, Caron and Cullen, Sarah-Jane. (2013) Bone health of apprentice jockeys using peripheral quantitative computed tomography. International Journal of Sports Medicine. 34(8), pp. 688 - 694. https://doi.org/10.1055/s-0032-1333213
Calcium and vitamin D supplementation on bone structural properties in peripubertal female identical twins
Greene, David. (2013) Calcium and vitamin D supplementation on bone structural properties in peripubertal female identical twins [Dataset].
Intra-limb variability and inter-limb asymmetry in gymnastics jump tests
Moresi, Mark Peter, Bradshaw, Elizabeth, Thomas, Kylie, Greene, David and Braybon, Wendy. (2013) Intra-limb variability and inter-limb asymmetry in gymnastics jump tests. In T-Y Shiang, W-H Ho and P C Huang & C L Tsai (Ed.). 31 International Conference on Biomechanics in Sports 2013. Taiwan: International Society of Biomechanics in Sports. pp. 1 - 5
Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT : A systematic review and meta-analysis
Burt, Lauren, Greene, David, Ducher, Gaele and Naughton, Geraldine. (2013) Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT : A systematic review and meta-analysis. Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2012.07.006
Relationship of leg stiffness measures during basic and sports specific movement tasks in high level netballers
Millett, Emma, Moresi, Mark Peter, Watsford, Mark, Taylor, Paul G. and Greene, David. (2013) Relationship of leg stiffness measures during basic and sports specific movement tasks in high level netballers. In T-Y Shiang, W Ho and P C Huang & C L Tsai (Ed.). 31 International Conference on Biomechanics in Sports 2013. Taiwan: International Society of Biomechanics in Sports. pp. 1 - 4
Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography
Burt, Lauren, Ducher, Gaele, Naughton, Geraldine, Courteix, Daniel and Greene, David. (2013) Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography. The Journal of Musculoskeletal and Neuronal Interactions.
Effects of textured insoles on balance in people with Parkinson's Disease
Qiu, Feng, Cole, Michael H., Davids, Keith W., Hennig, Ewald M., Silburn, Peter A., Netscher, Heather and Kerr, Graham K.. (2013) Effects of textured insoles on balance in people with Parkinson's Disease. PLoS ONE. 8(12), pp. 1 - 8. https://doi.org/10.1371/journal.pone.0083309
Cognitive tasks influence balance performance in people with Parkinson's disease
Xu, Dong, Muthalib, Mark, Pegoraro, Roger, Mengersen, Kerrie, Cole, Michael, Silburn, Peter and Kerr, Graham. (2013) Cognitive tasks influence balance performance in people with Parkinson's disease. 17th International Congress of Parkinson's Disease and Movement Disorders. United States of America: Movement Disorders Society. pp. S200 - S200
Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes
Moresi, Mark, Bradshaw, Elizabeth, Greene, David and Naughton, Geraldine. (2012) Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes. In E J Bradshaw, A Burnett and P A Hume (Ed.). 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 175 - 178
A secondary motor task exaggerates gait deficits in Parkinson's fallers
Kerr, Graham K., Cole, Michael, Wood, Joanne M. and Silburn, Peter A.. (2012) A secondary motor task exaggerates gait deficits in Parkinson's fallers. Congress of the International Society of Electrophysiology & Kinesiology. International Society of Electrophysiology & Kinesiology.
Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Courteix, Daniel. (2012) Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls. Osteoporosis International. 23(4), pp. 1277 - 1286. https://doi.org/10.1007/s00198-011-1677-z
Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field
Greene, David, Naughton, Geraldine, Bradshaw, Elizabeth, Moresi, Mark and Ducher, Gaele. (2012) Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field. Journal of Bone and Mineral Metabolism. 30(5), pp. 580 - 587. https://doi.org/10.1007/s00774-012-0360-6
Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes
Moresi, Mark Peter, Bradshaw, Elizabeth, Greene, David and Naughton, Geraldine A.. (2012) Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes. In E J Bradshaw, A Burnett and P A Hume (Ed.). 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 175 - 178
How well do clinical tests predict future falls in older people?
Kerr, Graham K., Wood, Joanne M., Lacherez, Philippe F. and Cole, Michael H.. (2012) How well do clinical tests predict future falls in older people?
Cognitive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael, Mengersen, Kerrie, Silburn, Peter and Kerr, Graham. (2012) Cognitive function and postural instability in people with Parkinson's disease.
Hamstring asymmetry: The key to recurring injury
Hill, Cameron and Cole, Michael. (2012) Hamstring asymmetry: The key to recurring injury.
A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation
Thevathasan, Wesley, Cole, Michael H., Graepel, Cara L., Hyam, Jonathan A., Jenkinson, Ned, Brittain, John-Stuart, Coyne, Terry J., Silburn, Peter A., Aziz, Tipu Z., Kerr, Graham K. and Brown, Peter. (2012) A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation. Brain. 135, pp. 1446 - 1454. https://doi.org/10.1093/brain/aws039
Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers
Kerr, Graham K., Cole, Michael H., Wood, Joanne M. and Silburn, Peter A.. (2012) Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers.
Passive mechanical properties of the gastrocnemius after spinal cord injury
Diong, Joanna, Herbert, Robert, Harvey, Lisa, Kwah, Li, Clark, Jillian, Hoang, Phu, Martin, Josh, Clarke, E, Bilston, L and Gandevia, S. (2012) Passive mechanical properties of the gastrocnemius after spinal cord injury. Muscle & Nerve. 46(2), pp. 237 - 245. https://doi.org/10.1002/mus.23356
Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces
Cole, Michael H., Silburn, Peter A., Wood, Joanne M. and Kerr, Graham K.. (2011) Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces. Parkinsonism and Related Disorders. 17(8), pp. 610 - 616. https://doi.org/10.1016/j.parkreldis.2011.05.019
Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait
Wilcox, Robert A., Cole, Michael H., Wong, David, Coyne, Terry, Silburn, Peter and Kerr, Graham. (2011) Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait. Journal of Neurology, Neurosurgery and Psychiatry. 82(11), pp. 1256 - 1259. https://doi.org/10.1136/jnnp.2010.213462
A randomized controlled trial of whole body vibration exposure on markers of bone turnover in postmenopausal women
Turner, Sarah, Torode, Margaret Ellen, Climstein, Michael, Naughton, Geraldine, Greene, David, Baker, Michael and Fiatarone Singh, Maria. (2011) A randomized controlled trial of whole body vibration exposure on markers of bone turnover in postmenopausal women. Journal of Osteoporosis. 2011(1), pp. 1 - 10. https://doi.org/10.4061/2011/710387
Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces
Cole, Michael H., Silburn, Peter A., Wood, Joanne M. and Kerr, Graham K.. (2011) Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces. Parkinsonism and Related Disorders. 17(8), pp. 610 - 616. https://doi.org/10.1016/j.parkreldis.2011.05.019
Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial
Greene, David A. and Naughton, Geraldine A,. (2011) Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial. Osteoporosis International (print version). 22(2), pp. 489 - 498. https://doi.org/10.1007/s00198-010-1317-z
The assessment of adolescent female athletes using standing and reactive long jumps
Moresi, Mark Peter, Bradshaw, Elizabeth, Greene, David A. and Naughton, Geraldine A.. (2011) The assessment of adolescent female athletes using standing and reactive long jumps. Sports Biomechanics (print version). 10(2), pp. 73 - 84. https://doi.org/10.1080/14763141.2011.569564
Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts
Burt, Lauren A., Naughton, Geraldine A., Greene, David A. and Ducher, Gaele. (2011) Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts. The Journal of Musculoskeletal and Neuronal Interactions. 11(3), pp. 227 - 233.
Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration
Wood, Joanne M., Lacherez, Philippe, Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2011) Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration. Investigative Ophthalmology and Visual Science. 52(8), pp. 5088 - 5092. https://doi.org/10.1167/iovs.10-6644
Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait
Wilcox, Robert A., Cole, Michael H., Wong, David, Coyne, Terry, Silburn, Peter and Kerr, Graham. (2011) Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait. Journal of Neurology, Neurosurgery and Psychiatry. 82(11), pp. 1256 - 1259. https://doi.org/10.1136/jnnp.2010.213462
Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control
Cole, Michael H., Silburn, Peter A., Wood, Joanne M., Worringham, Charles J. and Kerr, Graham K.. (2010) Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control. Movement Disorders. 25(14), pp. 2369 - 2378. https://doi.org/10.1002/mds.23292
Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010) Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts. Australian Conference of Science and Medicine in Sport. Australia: Elsevier. pp. 37 - 37
Whole body vibration for preventing and treating osteoporosis (protocol)
Lorenzen, Christian, Naughton, Geraldine, Cameron, Lainie, Williams, Morgan and Greene, David. (2010) Whole body vibration for preventing and treating osteoporosis (protocol). Cochrane Database of Systematic Reviews.
Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control
Cole, Michael H., Silburn, Peter A., Wood, Joanne M., Worringham, Charles J. and Kerr, Graham K.. (2010) Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control. Movement Disorders. 25(14), pp. 2369 - 2378. https://doi.org/10.1002/mds.23292
Jump kinetics, bone health and nutrition in elite adolescent female athletes
Greene, David Anthony, Moresi, Mark Peter, Naughton, Geraldine Ann and Bradshaw, Elizabeth Jane. (2010) Jump kinetics, bone health and nutrition in elite adolescent female athletes. XXVIIIth International of Society of Bioemchanics in Sports Conference. USA: International Society of Biomechanics. pp. 191 - 194
Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial
Greene, David A. and Naughton, Geraldine A.. (2010) Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial. Osteoporosis International. 22(2), pp. 489 - 498. https://doi.org/10.1007/s00198-010-1317-z
Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: A randomised controlled trial
Mikhael, Monica, Orr, Rhonda, Amsen, Fleur, Greene, David and Fiatarone Singh, Maria. (2010) Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: A randomised controlled trial. BMC Geriatrics. 10(74), pp. 1 - 13. https://doi.org/10.1186/1471-2318-10-74
Recreational gymnastics: strengthening the musculoskeletal system in young girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010) Recreational gymnastics: strengthening the musculoskeletal system in young girls. American society for bone and mineral research annual meeting. United States of America: American Society for Bone and Mineral Research. pp. 15 - 15
Postural stability and gait among older adults with age-related maculopathy
Wood, Joanne M., Lacherez, Philippe F., Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2009) Postural stability and gait among older adults with age-related maculopathy. Investigative Ophthalmology and Visual Science. 50(1), pp. 482 - 487. https://doi.org/10.1167/iovs.08-1942
Influence of drop-landing exercises on bone geometry and biomechanical properties in prepubertal girls: A randomized controlled study
Greene, David A., Wiebe, Peter N. and Naughton, Geraldine A.. (2009) Influence of drop-landing exercises on bone geometry and biomechanical properties in prepubertal girls: A randomized controlled study. Calcified Tissue International. 85(2), pp. 94 - 103. https://doi.org/10.1007/s00223-009-9253-7
The x-factor and its relationship to golfing performance
Cole, Michael H. and Grimshaw, Paul N.. (2009) The x-factor and its relationship to golfing performance. Journal of Quantitative Analysis in Sports. 5(1), pp. 1 - 19. https://doi.org/10.2202/1559-0410.1134
Bone health and strength of elite female adolescent athletes engaged in water polo, gymnastics and track-and-field
Naughton, Geraldine and Greene, David. (2008) Bone health and strength of elite female adolescent athletes engaged in water polo, gymnastics and track-and-field [Dataset].
Explosive and reactive horizontal jump assessment: Reliability and validity for athletic populations
Moresi, Mark Peter, Greene, David Anthony, Bradshaw, Elizabeth Jane and Naughton, Geraldine Ann. (2008) Explosive and reactive horizontal jump assessment: Reliability and validity for athletic populations. In Young-Hoo Kwon, Jaeho Shim and Jae Kun Shim & In-Sik Shin (Ed.). XXVI International Conference on Biomechanics; in Sports. Seoul, Korea: Seoul National University. pp. 514 - 517
Effect of a six-month training programme on the physical capacities of Romanian schoolchildren
Greene, David, Serbescu, Carmen, Flora, D., Hantiu, Iacob, Benhamou, Claude Laurent and Courteix, Daniel. (2006) Effect of a six-month training programme on the physical capacities of Romanian schoolchildren. Acta Paediatrica. 10(10), pp. 1258 - 1265. https://doi.org/10.1080/08035250600599719
A challenge to fitness testing in primary schools
Naughton, Geraldine, Greene, David and Carlson, John. (2006) A challenge to fitness testing in primary schools. Journal of Science and Medicine in Sport. 9(February), pp. 40 - 45. https://doi.org/10.1016/j.jsams.2006.01.002
Assessment of bone strength at differentially-loaded skeletal regions in adolescent middle-distance runners
Greene, David, Naughton, Geraldine, Briody, Julie, Kemp, Allan and Woodhead, Helen. (2006) Assessment of bone strength at differentially-loaded skeletal regions in adolescent middle-distance runners. Journal of Science and Medicine in Sport. 9(3), pp. 221 - 230. https://doi.org/10.1016/j.jsams.2006.03.030
Adaptive skeletal responses to mechanical loading during adolescence
Greene, David and Naughton, Geraldine A.. (2006) Adaptive skeletal responses to mechanical loading during adolescence. Sports Medicine. 36(9), pp. 723 - 732. https://doi.org/10.2165/00007256-200636090-00001
Bone and muscle geometry in female adolescent middle-distance runners
Greene, David, Naughton, Geraldine, Briody, Julie, Kemp, Allan and Woodhead, Helen. (2005) Bone and muscle geometry in female adolescent middle-distance runners. Pediatric Exercise Science. 17(4), pp. 377 - 389. https://doi.org/10.1123/pes.17.4.377
Exercise type, musculoskeletal health and injury risk factors in adolescent middle-distance runners
Greene, David. (2005) Exercise type, musculoskeletal health and injury risk factors in adolescent middle-distance runners [Thesis]. https://doi.org/10.4226/66/5a94b3b15e4b9
Bone strength index in adolescent girls: Does physical activity make a difference?
Greene, David, Naughton, Geraldine, Briody, Julie and Corrigan, L.. (2005) Bone strength index in adolescent girls: Does physical activity make a difference? British Journal of Sports Medicine. 39(9), pp. 622 - 627. https://doi.org/10.1136/bjsm.2004.014498